A 66-year-old man with BPH (prostate volume 45 mL, IPSS 18) has bothersome LUTS without retention. PSA 2.1 ng/mL. Most appropriate initial pharmacothe...

Question

A 66-year-old man with BPH (prostate volume 45 mL, IPSS 18) has bothersome LUTS without retention. PSA 2.1 ng/mL. Most appropriate initial pharmacotherapy?

Accepted Answer

Alpha-1 blocker (e.g., tamsulosin)

Answer

5-alpha-reductase inhibitor monotherapy only

Answer

Start anticholinergic alone

Answer

Immediate TURP

Answer

No therapy; avoid medication

us-abim MCQ (SBA): Benign Prostatic Hyperplasia

A 66-year-old man with BPH (prostate volume 45 mL, IPSS 18) has bothersome LUTS without retention. PSA 2.1 ng/mL. Most appropriate initial pharmacotherapy?